NUR 283 COMPREHENSIVE FINAL (GALEN) NEWEST
2026 ACTUAL EXAM TEST BANK| NUR283
TRANSITION TO REGISTERED NURSING FINAL
EXAM REVIEW WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
EXAM OVERVIEW
Course: NUR 283 Transition to Registered Nursing Practice
Institution: Galen College of Nursing
Exam Type: Comprehensive Final (Covers COMP 1, 2, & 3)
Approx.
Section Focus Areas
Questions
COMP Prioritization & Delegation, Clinical Judgment, Professional Role
80-100
1 Transition, Safety
COMP Pharmacology, Emergency Care, Developmental Stages, Nursing Process,
80-100
2 Legal/Ethical Issues
COMP Complex Medical-Surgical Conditions, End-of-Life Care, Care
80-100
3 Coordination, Leadership
Key Exam Tips:
• Priority = ABCs + Safety — always assess the patient who will deteriorate first
• Know scope of practice: RN (assessment, planning, evaluation, complex
interventions) vs. LPN (medications, reinforcing teaching, stable patients) vs. UAP
(vitals, I&O, ambulation, ADLs)
• SBAR communication: Situation, Background, Assessment, Recommendation
• Benner's Novice-to-Expert and Kramer's Reality Shock are frequently tested
,SECTION 1: PRIORITIZATION & DELEGATION (Questions 1–
50)
1. A nurse receives report on four patients. Which patient should the nurse assess
FIRST?
• A. Patient with a broken hip requesting pain medication
• B. Patient with a tracheostomy and oxygen saturation of 88%
• C. Patient who needs discharge teaching about warfarin
• D. Patient scheduled for an abdominal CT scan in 2 hours
• Correct Answer: B
• Rationale: Airway and breathing are always the priority. An SpO₂ of 88%
indicates hypoxemia, and the tracheostomy patient is at high risk for airway
obstruction or mucus plugging.
2. The nurse is caring for assigned clients who are 24 hours postoperative. Which
change in client condition should the nurse identify as the PRIORITY?
• A. The client reports an increased pain level of 8/10 after receiving an opioid
analgesic
• B. The client reports nausea after receiving prescribed antibiotics
• C. The client's dressing has a small amount of new serosanguineous drainage
• D. The client has voided 200 mL in the last 4 hours
• Correct Answer: A
• Rationale: Unrelieved or increasing pain after opioids may signal serious
complications such as hemorrhage, compartment syndrome, or anastomotic leak.
This change from baseline is the most concerning.
3. An RN on a medical-surgical unit delegates a task to an LPN/LVN. Which task is
appropriate?
, • A. Initial assessment of a new admission with chest pain
• B. Administration of IV push morphine to a post-op patient
• C. Administering oral metoprolol to a stable hypertensive patient
• D. Creating a care plan for a patient with diabetes
• Correct Answer: C
• Rationale: LPNs/LVNs can administer oral medications to stable patients. Initial
assessment, IV push opioids, and care plan creation require RN scope of practice.
4. A charge nurse is assigning staff. Which patient should be assigned to an
experienced RN rather than a new graduate?
• A. Patient with pneumonia on room air
• B. Patient with appendicitis scheduled for surgery in 4 hours
• C. Patient with unstable atrial fibrillation and a new heparin drip
• D. Patient with a urinary tract infection receiving oral antibiotics
• Correct Answer: C
• Rationale: A patient with unstable atrial fibrillation and a new heparin drip
requires complex assessment, monitoring, and titration skills. New graduates
should be assigned stable patients with predictable outcomes.
5. The nurse is delegating to unlicensed assistive personnel (UAP). Which task is
appropriate?
• A. Measuring vital signs on a stable patient
• B. Teaching a patient how to use an incentive spirometer
• C. Assessing the pain level of a post-operative patient
• D. Changing a sterile wound dressing
• Correct Answer: A
• Rationale: UAP can perform vital signs on stable patients. Teaching, assessment,
and sterile procedures require licensed nursing judgment.
6. The nurse manager is observing a new graduate nurse. Which action by the
graduate requires immediate correction?
, • A. Documenting medications after administration
• B. Using two patient identifiers before giving a blood transfusion
• C. Delegating vital signs on a stable patient to UAP
• D. Asking the charge nurse for help with a complex wound dressing
• Correct Answer: A
• Rationale: Medications should be documented immediately after administration,
not later, to prevent errors and ensure accurate records.
7. The nurse is using the SBAR tool to communicate with a provider. Which
statement represents the "B" (Background) component?
• A. "The patient's heart rate is 120 and blood pressure is 85/50."
• B. "I think the patient is going into septic shock."
• C. "The patient is post-op day 2 from a bowel resection and has a history of
diabetes."
• D. "I recommend transferring the patient to the ICU."
• Correct Answer: C
• Rationale: Background includes relevant history and context. S = Situation, B =
Background, A = Assessment, R = Recommendation.
8. Which task can the RN delegate to an unlicensed assistive personnel (UAP)?
• A. Suctioning a tracheostomy
• B. Inserting a Foley catheter
• C. Assisting a patient with ambulation after a fall risk assessment
• D. Administering a tube feeding
• Correct Answer: C
• Rationale: Ambulation assistance, after the RN determines the patient is stable
and safe, is within UAP scope. Suctioning, catheter insertion, and tube feedings
require licensed nursing judgment.
9. A new graduate nurse is assigned a patient with a chest tube. The graduate is
unsure how to assess for an air leak. What is the best action?
2026 ACTUAL EXAM TEST BANK| NUR283
TRANSITION TO REGISTERED NURSING FINAL
EXAM REVIEW WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
EXAM OVERVIEW
Course: NUR 283 Transition to Registered Nursing Practice
Institution: Galen College of Nursing
Exam Type: Comprehensive Final (Covers COMP 1, 2, & 3)
Approx.
Section Focus Areas
Questions
COMP Prioritization & Delegation, Clinical Judgment, Professional Role
80-100
1 Transition, Safety
COMP Pharmacology, Emergency Care, Developmental Stages, Nursing Process,
80-100
2 Legal/Ethical Issues
COMP Complex Medical-Surgical Conditions, End-of-Life Care, Care
80-100
3 Coordination, Leadership
Key Exam Tips:
• Priority = ABCs + Safety — always assess the patient who will deteriorate first
• Know scope of practice: RN (assessment, planning, evaluation, complex
interventions) vs. LPN (medications, reinforcing teaching, stable patients) vs. UAP
(vitals, I&O, ambulation, ADLs)
• SBAR communication: Situation, Background, Assessment, Recommendation
• Benner's Novice-to-Expert and Kramer's Reality Shock are frequently tested
,SECTION 1: PRIORITIZATION & DELEGATION (Questions 1–
50)
1. A nurse receives report on four patients. Which patient should the nurse assess
FIRST?
• A. Patient with a broken hip requesting pain medication
• B. Patient with a tracheostomy and oxygen saturation of 88%
• C. Patient who needs discharge teaching about warfarin
• D. Patient scheduled for an abdominal CT scan in 2 hours
• Correct Answer: B
• Rationale: Airway and breathing are always the priority. An SpO₂ of 88%
indicates hypoxemia, and the tracheostomy patient is at high risk for airway
obstruction or mucus plugging.
2. The nurse is caring for assigned clients who are 24 hours postoperative. Which
change in client condition should the nurse identify as the PRIORITY?
• A. The client reports an increased pain level of 8/10 after receiving an opioid
analgesic
• B. The client reports nausea after receiving prescribed antibiotics
• C. The client's dressing has a small amount of new serosanguineous drainage
• D. The client has voided 200 mL in the last 4 hours
• Correct Answer: A
• Rationale: Unrelieved or increasing pain after opioids may signal serious
complications such as hemorrhage, compartment syndrome, or anastomotic leak.
This change from baseline is the most concerning.
3. An RN on a medical-surgical unit delegates a task to an LPN/LVN. Which task is
appropriate?
, • A. Initial assessment of a new admission with chest pain
• B. Administration of IV push morphine to a post-op patient
• C. Administering oral metoprolol to a stable hypertensive patient
• D. Creating a care plan for a patient with diabetes
• Correct Answer: C
• Rationale: LPNs/LVNs can administer oral medications to stable patients. Initial
assessment, IV push opioids, and care plan creation require RN scope of practice.
4. A charge nurse is assigning staff. Which patient should be assigned to an
experienced RN rather than a new graduate?
• A. Patient with pneumonia on room air
• B. Patient with appendicitis scheduled for surgery in 4 hours
• C. Patient with unstable atrial fibrillation and a new heparin drip
• D. Patient with a urinary tract infection receiving oral antibiotics
• Correct Answer: C
• Rationale: A patient with unstable atrial fibrillation and a new heparin drip
requires complex assessment, monitoring, and titration skills. New graduates
should be assigned stable patients with predictable outcomes.
5. The nurse is delegating to unlicensed assistive personnel (UAP). Which task is
appropriate?
• A. Measuring vital signs on a stable patient
• B. Teaching a patient how to use an incentive spirometer
• C. Assessing the pain level of a post-operative patient
• D. Changing a sterile wound dressing
• Correct Answer: A
• Rationale: UAP can perform vital signs on stable patients. Teaching, assessment,
and sterile procedures require licensed nursing judgment.
6. The nurse manager is observing a new graduate nurse. Which action by the
graduate requires immediate correction?
, • A. Documenting medications after administration
• B. Using two patient identifiers before giving a blood transfusion
• C. Delegating vital signs on a stable patient to UAP
• D. Asking the charge nurse for help with a complex wound dressing
• Correct Answer: A
• Rationale: Medications should be documented immediately after administration,
not later, to prevent errors and ensure accurate records.
7. The nurse is using the SBAR tool to communicate with a provider. Which
statement represents the "B" (Background) component?
• A. "The patient's heart rate is 120 and blood pressure is 85/50."
• B. "I think the patient is going into septic shock."
• C. "The patient is post-op day 2 from a bowel resection and has a history of
diabetes."
• D. "I recommend transferring the patient to the ICU."
• Correct Answer: C
• Rationale: Background includes relevant history and context. S = Situation, B =
Background, A = Assessment, R = Recommendation.
8. Which task can the RN delegate to an unlicensed assistive personnel (UAP)?
• A. Suctioning a tracheostomy
• B. Inserting a Foley catheter
• C. Assisting a patient with ambulation after a fall risk assessment
• D. Administering a tube feeding
• Correct Answer: C
• Rationale: Ambulation assistance, after the RN determines the patient is stable
and safe, is within UAP scope. Suctioning, catheter insertion, and tube feedings
require licensed nursing judgment.
9. A new graduate nurse is assigned a patient with a chest tube. The graduate is
unsure how to assess for an air leak. What is the best action?
